Individual provider Active NPI

Eileen Ann Flavin, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1730295221
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0004367-NP Issued in CO
Practice address
4735 Bywood CT
Colorado Springs, CO 80906-5936
Phone
(719) 285-6022
Fax
(719) 368-6202
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 102301 CO
Family Nurse Practitioner 363LF0000X APN.0004367-NP CO Primary

Addresses

Primary practice location

4735 Bywood CT
Colorado Springs, CO 80906-5936

Mailing address

1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-2887

Other practice location 1

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-2888

Other names 1

  • Eileen Ann Flavin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000374 CO Practitioner - Nurse Practitioner 9537268438 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Permanente Medical Group PCGroup PAC ID 1254238454, 1,325 clinicians
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

10350 E Dakota Ave
Kaiser Permanente Regional Office
Denver, CO 80247-1314
Phone (303) 338-4545

2767 Janitell Rd
Colorado Springs, CO 80906-4102
Phone (719) 365-2888

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
102301COMDFamily Nurse Practitioner
APN.0004367-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Interim Healthcare of Southeastern Colorado, Inc CurrentSince Jul 24, 2022 Accepting new patients
Colorado Permanente Medical Group, P.C. CurrentSince Dec 7, 2023 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Apr 1, 2007 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 1, 2016 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 1, 2016 Accepting new patients
Uch-MHS CurrentSince Oct 1, 2012 Accepting new patients
Emergency Medical Specialists, PC CurrentSince Apr 1, 2007 Accepting new patients
Uchealth Community Services Past Accepting new patients
Uch-MHS Past Accepting new patients

Locations

16951 E Quincy Ave
Aurora, CO 80015
Phone (303) 752-5470

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

4404 Barranca Ln
Ste 101
Castle Rock, CO 80104
Phone (720) 733-5260

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

1901 N Union Blvd
Ste 105
Colorado Springs, CO 80909
Phone (719) 314-4868

8890 N Union Blvd
Colorado Springs, CO 80920
Phone (719) 364-5633

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

4050 Briargate Pkwy
Colorado Springs, CO 80920
Phone (719) 364-5000

10350 E Dakota Ave
Ofc
Denver, CO 80247
Phone (303) 344-7771

4660 Yosemite St
Ste 100
Denver, CO 80238
Phone (720) 516-8900

5589 Argonne St
Denver, CO 80249
Phone (303) 371-0330

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

311 Steele St
Denver, CO 80206
Phone (303) 372-4000

9475 S University Blvd
Highlands Ranch, CO 80126
Phone (303) 470-4061

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1730295221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E BOULDER ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809095533",
            "telephone_number": "719-365-2887",
            "fax_number": "719-365-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 BYWOOD CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809065936",
            "telephone_number": "719-285-6022",
            "fax_number": "719-368-6202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2767 Janitell Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809064102",
            "country_code": "US",
            "telephone_number": "719-365-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAVIN",
        "first_name": "EILEEN",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "102301",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0004367-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "FLAVIN",
            "middle_name": "ANN",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.